机构:[1]Department of Medical Imaging, The First Affiliated Hospital, Kunming Medical University, Kunming, China,昆明医科大学附属第一医院医技科室医学影像中心[2]Department of Psychiatry, The First Affiliated Hospital, Kunming Medical University, Kunming, China,内科科室精神科昆明医科大学附属第一医院[3]Biomedical Engineering Research Center, Kunming Medical University, Kunming, China
It is crucial to explore the pathogenesis of major depressive disorder (MDD) at the early stage for the better diagnostic and treatment strategies. It was suggested that MDD might be involving in functional or structural alternations at the brain network level. However, at the onset of MDD, whether the whole brain white matter (WM) alterations at network level are already evident still remains unclear. In the present study, diffusion MRI scanning was adopt to depict the unique WM structural network topology across the entire brain at the early stage of MDD. Twenty-one first episode, short duration (<1 year) and drug-naive depression patients, and 25 healthy control (HC) subjects were recruited. To construct the WM structural network, atlas-based brain regions were used for nodes, and the value of multiplying fiber number by the mean fractional anisotropy along the fiber bundles connected a pair of brain regions were used for edges. The structural network was analyzed by graph theoretic and network-based statistic methods. Pearson partial correlation analysis was also performed to evaluate their correlation with the clinical variables. Compared with HCs, the MDD patients had a significant decrease in the small-worldness (sigma). Meanwhile, the MDD patients presented a significantly decreased subnetwork, which mainly involved in the frontal-subcortical and limbic regions. Our results suggested that the abnormal structural network of the orbitofrontal cortex and thalamus, involving the imbalance with the limbic system, might be a key pathology in early stage drug-naive depression. And the structural network analysis might be potential in early detection and diagnosis of MDD.
基金:
National Nature Science Foundation of ChinaNational Natural Science Foundation of China [81560233, 81660237, 81460264]; National Clinical Research Center on Mental Disorders [2015BAI13B02]; Innovation Team Project of Yunnan Province [2014HC018]
第一作者机构:[1]Department of Medical Imaging, The First Affiliated Hospital, Kunming Medical University, Kunming, China,
共同第一作者:
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推荐引用方式(GB/T 7714):
Lu Yi,Shen Zonglin,Cheng Yuqi,et al.Alternations of White Matter Structural Networks in First Episode Untreated Major Depressive Disorder with Short Duration[J].FRONTIERS IN PSYCHIATRY.2017,8:doi:10.3389/fpsyt.2017.00205.
APA:
Lu, Yi,Shen, Zonglin,Cheng, Yuqi,Yang, Hui,He, Bo...&Han, Dan.(2017).Alternations of White Matter Structural Networks in First Episode Untreated Major Depressive Disorder with Short Duration.FRONTIERS IN PSYCHIATRY,8,
MLA:
Lu, Yi,et al."Alternations of White Matter Structural Networks in First Episode Untreated Major Depressive Disorder with Short Duration".FRONTIERS IN PSYCHIATRY 8.(2017)